1982, 11-30 Permit: 82B-1445 ResidencePLAN NUMBER APPLICATION /PERMIT
F24 25,l SPOKANE COUNTY - DEPARTMENT IQF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
CHANGE OF USE FROM
lJ
APPLICANTf.'COMPLETE NUMBERED SPACES
-PRESS HARD TO MAKE 3 COPIES
Uncv. Deck
Fin. Basement
STREET A'1
/
PARCEL NO.
2.�
LOT
I MCK
SUBDIVISION V
LEGAL DFAPRIPTION:,�,�
/V/$��%
S'
Floors
OWNER
No. Dwellings
Q ❑ ALT. ❑ AD'N. ❑ RPL.
7•
PHONE
PppONE
Z
OF
[BLD. ❑ PLMB. ❑ MECH. ❑ M. H.
❑ OTHER
❑ POOL
WORK
Certifi.ofExempt. Required
Yes o
Number
MAILIN ESS
ZIP
ua Set Backs m Feet to:
DESCRIBE W K _ -
8
Shorelines/Flood Hazard
Plans Required ❑
North to South 27 East Lk
I West a
Not Applic. B"-
CONTRACT
VALUATION
9•
LICENSE EXPIRES
PHONE
Size of Parcel
Zonetion
CI s' 'ca
Residential
Commercial
4.
I
FEES COLLECTED
UTILITIES
75 1:50
PRIVATE ❑
❑
Public ❑ Private
A S
ZIP
TypeCgnstt.
upancy
Sprinkles ad
reverse side, and know the same to be true and correct.
All provisions of laws and ordinances governing this type of
v j�
Building
[Yes
Bf�o ❑Req'd.
thority to violate or cancel the provisions of an other state or local law regulating construction or the performance
DESIGNER
of construction. SEE REVERSJE SIDE FOR R E
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
OWNER OR AGENT
DATE Z�
Mech.
SPECIAL APPROVALS
SPE IAL DITIO
(SEE REVERSE SIDE FOR NOTICE)
ADDRESS
ZIP
Main FfoofpperFloor �arage/stqragfe
6ile
Greenhouse
CHANGE OF USE FROM
TO
Cover Dock
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
`-
-
-
�� �
TYPE -NEW
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
Q ❑ ALT. ❑ AD'N. ❑ RPL.
7•
❑ MVE.
Z
OF
[BLD. ❑ PLMB. ❑ MECH. ❑ M. H.
❑ OTHER
❑ POOL
WORK
Certifi.ofExempt. Required
Yes o
Number
or Variance Received
Yes No F1,
DESCRIBE W K _ -
8
Shorelines/Flood Hazard
Plans Required ❑
Aff.Yes❑
Not Applic. B"-
Received ❑
VALUATION
9•
S OFCE
GAS
ELE RIC
PUBLIC O
SE TIC O
Ownership
/T
I
FEES COLLECTED
UTILITIES
PRIVATE ❑
SEWER ❑
Public ❑ Private
I hereby certify that I have read and examined this application
and have read the "NOTICE"
provisions included on
reverse side, and know the same to be true and correct.
All provisions of laws and ordinances governing this type of
Building
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the provisions of an other state or local law regulating construction or the performance
of construction. SEE REVERSJE SIDE FOR R E
INSPECTIONS
Plumbing
SIGNATURE OF
APPLICATION
OWNER OR AGENT
DATE Z�
Mech.
SPECIAL APPROVALS
SPE IAL DITIO
(SEE REVERSE SIDE FOR NOTICE)
PRELIM FINAL DATE
Plan Check
Env. Hgalth
" I
1 // 3
Planning
tngineer I (�/..L'�I V: 41
Utilities��
Plans
Exam.
Building
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
SEPA
Modular/
MFG.Home
Other (Specify)
TOTAL $
PERMIT'NUMB R
WHEN MACHINE VALIDATED IN THIS SPACE,
THISBECOMESAp PERMIT.
DATE1 LIED O 8 PERMIT1 04 `F 5 z * 2 8 6.O 0 SAL
a
O
V
W
J_
U.
4
I t
IL
f
P/y- /75 -4'q -
6r7
75 Fr.
-60 i Vic
Ex is aIN6
Dou6le-
G*RA"
ol
go
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64,
GI -A
,.27'
ol
op
75
EP A L D 0 A I)
1f"E R M I T No.
Spokane County
Planning Department
Short Plat
Exemption Certificate y.
1. WAS THIS PARCEL SEGREGATED BEFORE MARCH 13. 1978, OR WAS APPLICATION
TO SEGREGATE MADE BEFORE MARCH 13, 1978 ? YES NO
(exempt under section 3.385 of Short Plat Ordinance)
2. IS THIS PARCEL 10 ACRES IN SIZE OR LARGER ? YES
(exempt under section 3.3E of Short Plat Ordinance)
3. WILL THIS PARCEL BE USED FOR A PUBLIC UTILITY FACILITY ?
(exempt under section 3.384 of Short Plat Ordinance)
-4. IS THIS SEGREGATION BEING ACCOMPLISHED TO EFFECT A MINOR BOUNDARY
OR PROPERTY LINE ADJUSTMENT, BUT NOT CREATING ANY NEW LOTS OR
CAUSING OTHER LOTS TO FALL BELOW MINIMUM ZONING STANDARDS FOR SIZE
SHAPE OR FRONTAGE, OR AFFECTING ROAD ACCESS TO ANY OTHER LOTS ?
(exempt under section 3.3H of Short Plat Ordinance)
YES (n
YES
NO
5. IS THIS PARCEL ZONED RESIDENTIAL OFFICE. LOCAL BUSINESS. COMMERCIAL.
FREEWAY COMMERCIAL. INDUSTRIAL OR MANUFACTURING ? YES NOS
(exempt under section 3.3B4 of Short Plat Ordinance)
APPROVED BY: DATE: S Z --
I hereby certif t answers I have offered in connection with obtaining
this exemption are true..........
APPLICANT'S SIGNATURE:
3k
i
i
DATE: / lz—
bu'l(Jim(, N I,( it11LHSON SINEEI SPONAW WASMNGION 99260 PNONt 456.2LC;